Written by a parent, not a doctor. Nothing here is medical advice.

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Keeping the work plan after coverage ends (COBRA)

Federal right to keep the same group plan, usually for 18 months, at the full premium plus up to 2%.

What it is

Federal right to keep the same group plan, usually for 18 months, at the full premium plus up to 2%.

If work coverage ends because of job loss or reduced hours, the family can continue the employer-plan coverage for usually 18 months at up to 102% of the plan’s cost. Employer contributions usually end, though some employers subsidize. Continuation follows the coverage active employees have, so ask the plan to confirm the current network and treatment approvals, and compare with Ohio Medicaid and HealthCare.gov before deciding.

Rules
  • Federal COBRA generally applies at employers with 20 or more employees, subject to employer-type and counting rules.
  • Elect within at least 60 days of the later of coverage loss or the election notice; the first payment is due 45 days after electing; coverage is retroactive once premiums are paid.
  • Voluntarily cancelling the work plan usually does not open a marketplace enrollment window.
What you get
  • Continued employer-plan coverage without a gap; ask the plan to confirm the current network, approvals, premium and payment dates.
  • Time to arrange other coverage.
Cost
  • Up to 102% of the plan’s cost; employer contributions usually end but can be subsidized. Ask for the actual figure.
If you decide to apply
  1. Ask HR whether coverage is changing and, if so, the exact end date and the COBRA election notice.
  2. Ask for the full monthly premium in writing.
  3. Have the hospital compare treatment access under COBRA, Ohio Medicaid and a HealthCare.gov plan before choosing.

Department of Labor: COBRA · Official page ↗

Deadlines
  • Do not let the election window pass while waiting on another option; you can elect and later drop it.
Good to know

A job change alone does not prove insurance is ending. Get the end date in writing first.

Other details
  • Ohio also has continuation for eligible insured-group coverage, often important at smaller employers. After at least three months of continuous coverage, an involuntary job termination other than gross misconduct can qualify, subject to the law's other-coverage rules. It can last up to 12 months at the full group premium, not automatically 102%. Written election and the first payment are due by the earliest applicable deadline: 31 days after coverage ends, 10 days after coverage ends if notice came before then, or 10 days after a later notice. The social worker can help compare the dated notice with federal COBRA and other coverage; a quit or hours cut alone is not this state event. ORC 3923.38 took effect April 1, 2009. Medicare, other-group coverage and required-benefit exclusions also affect eligibility.

Related Ohio cards: Parent coverage through Medicaid or HealthCare.gov · CMH premium assistance.

Official sources
Ask your social worker

“If our work coverage ends, can you help us compare keeping the plan through COBRA with Ohio Medicaid and a HealthCare.gov plan before the deadline?”

Why I’m asking: Keeping our child’s care team matters, and we need the full premium and dates to decide.

More background and detailed requirements
Additional program information and published rules

Who does what

The three parts, side by side. The agency decides; nobody on this page does.

You

Ask for the election notice, elect within 60 days, pay within 45 more, and keep proof of every payment.

Your social worker

Helps you compare continuity of treatment against the premium and the other coverage options.

The care team

Records and letters when the application asks for them.

Who decides
The plan's COBRA administrator
Ask HR
“Is our plan under federal COBRA (20 or more employees) or state continuation? When will the election notice go out, what is the full monthly premium, and what is the last day to elect?”

How to apply

First step: Ask human resources for the COBRA election notice in writing the day the job ends, and write the 60-day date on the calendar.

  1. Ask HR for the election notice in writing the day the job ends.
  2. Write the 60-day date on the calendar.
  3. Compare with the Marketplace period and Medicaid before paying.

Where it starts: Election notice from the employer. DOL EBSA 1-866-444-3272 for help

What to gather

  • The election notice with the premium and the coverage-end date
  • Employer size
  • Whether the plan is fully insured or self-funded

How long: The notice usually arrives within a few weeks of the job ending. Coverage is retroactive to the loss date once you elect and pay.

Clock: Elect COBRA within 60 days of the later of losing coverage or getting the election notice.

Clock: Make the first payment within 45 days of electing, covering every month back to the loss.

What a yes looks like

Confirmation of continued coverage with the paid-through date. The hospital sees no gap.

What a no looks like, and the next move

“Employer too small” or “late election”: ask the insurer about state continuation and use the 60-day Marketplace period.

Watch out

  • Federal COBRA applies to employers with 20 or more people. Smaller employers use state continuation rules, which often offer a shorter coverage period.
  • You have 60 days to elect and 45 more days to make the first payment. You can wait and elect retroactively, but then every back premium is due at once.
  • Dropping COBRA voluntarily or missing a payment does not open a new Marketplace period.
  • Federal employees have Temporary Continuation of Coverage rather than ordinary private-employer COBRA: event-specific duration and election rules apply. Ask the employing office for the TCC notice and premium.

The numbers and the rules

The arcane layer, kept on purpose. Checked September 10, 2026.

What it is worth

The same plan, network and deductible progress for 18 months (29 with a disability extension, 36 for some family events), at up to 102% of the full premium.

  • $102/month (150% only in disability-extension months 19–29) — Maximum premium charge
  • $45 — Days to make the first payment after electing

Legal protection: Continuation of the same group plan after a qualifying event · 60-day election from the later of the coverage loss or the election notice · 30-day grace period for each later payment

What it costs the family: The employer subsidy usually ends. The family pays up to 102% of the full premium.

The eligibility facts, as published

Employer size min
20
Qualifying event
job loss or reduction of hours (not gross misconduct)
Election days
60
First payment days
45
Grace days
30
Durations months
18; 29; 36
Premium max percent
102
Disability extension premium percent
150

Decisions this site cannot make: COBRA applicability (employer size, plan, event)

Expect friction on: Short period · High premium

The trap: Federal COBRA applies to employers with 20 or more people. You have 60 days to elect and 45 more to pay. A retroactive election is lawful but every back premium is due at once.

What changes by state: Small-employer continuation (“mini-COBRA”) length and premium. Ask the social worker for the contact.

Where I read this

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